Migration of an Adjustable Gastric Band Into Gastric Lumen: A Rare Complication of Bariatric Surgery: Case Report

Abstract

aparoskopik ayarlanabilir gastrik bant uygulaması (LAGBU) morbid obezitenin tedavisinde sıklıkla kullanılan bir prosedurdür, son zamanlarda dünyada en sık yapılan bariatrik operasyondur.1 LAGBU morbid obezite tedavisindeki ilk minimal invaziv uygulamadır. Çok düşük morbidite ve hemen hemen hiç mortalite ile karşılaşmadan morbid obezitenin efektif tedavisine olanak sağlar. ). An expansion was detected in proximal pouche on fluoroscopic examination when she was investigated for the complaint of epigastric pain in March 2010. A revision surgery was planned with the prediagnosis of band sliding. Total migration of the band into lumen and towards terminal ileum was detected on operation. The band was removed with enterotomy and a vertical band gastroplasty was performed. This is the first case in literature that the band lost its connection with the tube and migrated into the lumen of terminal ileum. If the band is migrated into distal parts as in this case, early surgery must be planned for preventing complications as ulceration, perforation and obstruction.